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General NPI Number Information
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NPI Number | 1699880872
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Entity Type | Individual
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Provider Name | GARY A STEINECKER MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 4400 W 95TH ST #302
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City | OAK LAWN
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State | IL
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Zip | 60453
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Country | US
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Telephone | 708-346-4100
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Fax | 708-346-2095
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Provider Business Mailing Address
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Address Line | 4400 W 95TH ST #302
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City | OAK LAWN
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State | IL
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Zip | 60453
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Country | US
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Telephone | 708-346-4100
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Fax | 708-346-2095
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 03645587
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License Number State | IL
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